Individual
MONICA ESTHER BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 W CRESCENT AVE APT 1061, ANAHEIM, CA 92801-3812
(714) 398-6418
Mailing address
2130 W CRESCENT AVE APT 1061, ANAHEIM, CA 92801-3812
(714) 398-6418
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41744
CA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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